STEPHANIE MARIE OTTUSCH NPI 1255943775

NPI Information

NPI: 1255943775
Provider Name: STEPHANIE MARIE OTTUSCH
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5555 E 5TH ST STE 101
TUCSON, AZ
ZIP 85711
Phone: (520) 886-4181
Get Directions

Stephanie Marie Ottusch is a family nurse practitioner in Tucson, AZ with 2 years of experience. Stephanie Marie Ottusch NPI is 1255943775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

5555 E 5TH ST STE 101
TUCSON, AZ
ZIP 85711-415
Phone: (520) 886-4181
Fax: (520) 721-7536

The NPI 1255943775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2020 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		201141583RN	OREGON	No
2	363LF0000X	Nurse Practitioner	Family	288359	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201141583RN	OTHER	OREGON	OREGON STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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